Randomized Clinical Trial with e-MotionalTraining® 1.0 for Social Cognition Rehabilitation in Schizophrenia

Souto, Yolanda Maroño; Campo, Miriam Vázquez; Llenderrozas, Francisco Díaz; Álvarez, Marina Rodríguez; Mateos, Raimundo; Caballero, Alejandro García

doi:10.3389/fpsyt.2018.00040

Cited by 21 publications

(9 citation statements)

References 76 publications

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“…The meta-analysis included 58 studies, Bell, Fiszdon, Greig, Wexler, and Bryson (2007), Bell, Zito, Greig, and Wexler (2008), Bellucci, Glaberman, and Haslam (2003), Bryce et al (2018), Cavallaro et al (2009), Choi et al (2018), Contreras, Tan, Lee, Castle, and Rossell (2018), d'Amato et al (2011), Eack et al (2009), Fisher, Holland, Merzenich, and Vinogradov (2009), Fisher, Holland, Merzenich, and Vinogradov (2010), Fisher, Mellon, Wolkowitz, and Vinogradov (2016), Fisher et al (2015), Fiszdon, Kurtz, Choi, Bell, and Martino (2016), Garety et al (2015), Garrido et al (2013), Gottlieb et al (2017), Greig, Zito, Wexler, Fiszdon, and Bell (2007), Hogarty et al (2004), Hooker et al (2012), Iwata et al (2017), Jahshan, Vinogradov, Wynn, Hellemann, and Green (2019), Krzystanek, Borkowski, Skałacka, and Krysta (2019), Kukla, Bell, and Lysaker (2018), Kurtz, Mueser, Thime, Corbera, and Wexler (2015), Kurtz, Seltzer, Shagan, Thime, and Wexler (2007), Lado-Codesido, Méndez Pérez, Mateos, Olivares, and García Caballero (2019), Lee (2013), Leff, Williams, Huckvale, Arbuthnot, and Leff (2013), Lindenmayer et al (2018), Mahncke et al (2019), Maroño Souto et al (2018), Matsuda et al (2018), Miley et al (2020), Moritz et al (2011, 2015a, 2015b, 2016), Pitkänen et al (2012), Popov et al (2011, 2014), Rass et al (2012), Rodewald et al (2011), Sachs et al (2012), Schlosser et al (2018), Shuib, Ahmad, Osman, and Alwi (2019), Tessier et al (2020), Urben, Pihet, Jaugey, Halfon, and Holzer (2012), Van den Noortgate, López-López, Marín-Martínez, and Sánchez-Meca (2013), Vauth et al (2005), Vinogradov et al (2009), Vreeland et al (2006), Wölwer et al (2005), Xu et al (2019), and Zhu et al (2020) (online Supplementary Table S1) reporting 618 effect sizes or SMCs. The total sample comprised of 4394 participants, of whom 64.31% were male.…”

Section: Resultsmentioning

confidence: 99%

“…,Leff, Williams, Huckvale, Arbuthnot, and Leff (2013),Lindenmayer et al (2018),Mahncke et al (2019), Maroño Souto et al (2018,Matsuda et al (2018), Miley et al (2020,Moritz et al (2011Moritz et al ( , 2015aMoritz et al ( , 2015bMoritz et al ( , 2016,Pitkänen et al (2012),Popov et al (2011Popov et al ( , 2014, Rass et al (2012), Rodewald et al (2011), Sachs et al (2012), Schlosser et al (2018), Shuib, Ahmad, Osman, and Alwi (2019), Tessier et al (2020), Urben, Pihet, Jaugey, Halfon, and Holzer (2012), Van den Noortgate, López-López, Marín-Martínez, and Sánchez-Meca (2013), Vauth et al (2005), Vinogradov et al (2009), Vreeland et al (2006), Wölwer et al (2005), Xu et al (2019), and Zhu et al (2020) (online Supplementary Table…”

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confidence: 99%

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Efficacy of technology-based interventions in psychosis: a systematic review and network meta-analysis

et al. 2022

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Background Technology-based interventions (TBIs) are a useful approach when attempting to provide therapy to more patients with psychosis. Methods Randomized controlled trials of outcomes of TBIs v. face-to-face interventions in psychosis were identified in a systematic search conducted in PubMed/Ovid MEDLINE. Data were extracted independently by two researchers, and standardized mean changes were pooled using a three-level model and network meta-analysis. Results Fifty-eight studies were included. TBIs complementing treatment as usual (TAU) were generally superior to face-to-face interventions (g = 0.16, p ≤ 0.0001) and to specific outcomes, namely, neurocognition (g = 0.13, p ≤ 0.0001), functioning (g = 0.25, p = 0.006), and social cognition (g = 0.32, p ≤ 0.05). Based on the network meta-analysis, the effect of two TBIs differed significantly from zero; these were the TBIs cognitive training for the neurocognitive outcome [g = 0.16; 95% confidence interval (CI) 0.09–0.23] and cognitive behavioral therapy for quality of life (g = 1.27; 95% CI 0.46–2.08). The variables educational level, type of medication, frequency of the intervention, and contact during the intervention moderated the effectiveness of TBIs over face-to-face interventions in neurocognition and symptomatology. Conclusions TBIs are effective for the management of neurocognition, symptomatology, functioning, social cognition, and quality of life outcomes in patients with psychosis. The results of the network meta-analysis showed the efficacy of some TBIs for neurocognition, symptomatology, and quality of life. Therefore, TBIs should be considered a complement to TAU in patients with psychosis.

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

Efficacy of technology-based interventions in psychosis: a systematic review and network meta-analysis

et al. 2022

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“…the question was posed and it can be asked to the classroom allowing some debate to reach a consensus without being prompted by time constrictions. These modules were designed to improve the recognition of facial expressions of emotions in individuals with severe mental disorders, the selection and validation of the pictures as well as the usefulness of the program in patients with schizophrenia has been published elsewhere (Maroño Souto et al, 2018;Vázquez-Campo et al, 2016).…”

Section: Interventionmentioning

confidence: 99%

Facial Emotional Perception Training for Medical Students

Vázquez-Campo¹,

Vidal²,

Torres³

et al. 2019

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Introduction: The aim of this study was to determine the applicability and efficacy of a tool for improving medical students' ability to recognize the facial expressions of emotions. Material and methods: We conducted a controlled intervention study with 98 medical students. The control group underwent a 45-minute class whose content was not targeted at the rehabilitation objective, while the intervention group was trained to recognize emotions through tutorials and games on eye, face and microexpression recognition using https://www.e-motionaltraining.com/ program. All participants were assessed before and after the intervention with Ekman Faces Test. Results: When comparing the scores between the groups, we observed significant preintervention postintervention improvements in the intervention group in the emotions of anger (p < 0.001), sadness (p = 0.031) and fear (p = 0.007). Moreover, when comparing the students who performed pretest at Q1 vs. Q4 there were significant differences in change scores in happiness and anger (p = 0.005 and p = 0.003, respectively), with the students who achieved lower results in the initial assessment (Q1), thereby showing greater improvement. Conclusions: We can conclude that training medical students in recognizing facial emotions as part of their routine classroom training is feasible. The participants who most benefited were those who initially had lower scores in emotion recognition.

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“…The results of the initial unblinded controlled pilot study demonstrated statistically significant improvements in both Emotion Recognition (ER) and ToM (29). The version 1.0 has proven its efficacy in a multicenter randomized clinical trial (RCT) (30) and version 2.0 of the program, developed since 2013, is now available (31). ET 2.0 increased the number of different models with photographs, the number of games and a new movie was included with actors called "The Surprise. "…”

Section: Introductionmentioning

confidence: 99%

Social cognition and emotional rehabilitation in participants with schizofrenia

Rodríguez Pulido,

Caballero Estebaranz,

García Caballero

et al. 2023

Front. Psychiatry

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IntroductionPeople with schizophrenia have deficits in social cognition, emotion and social perception, as well as attributional style. The purpose of this study was to evaluate the efficacy of a multicomponent social cognition training program, e-Motional Training® (ET), in people with schizophrenia and to compare its efficacy with people who did not receive it. Therefore, a single-blind RCT was conducted in participants with a diagnosis of schizophrenia.MethodsA randomized, single-blind, clinical trial was conducted with 50 stable outparticipants with schizophrenia (registry number CHUC_2019_109). All participants (control and intervention) were treated with pharmacotherapy, case management and were on Individual Placement and Support methodology for competitive employment. The intervention group was treated with ET, an online program designed for social cognition rehabilitation. Pre and post assessment was performed using different battery of tests. General mixed models with subject identification and repeated measures over time were used.ResultsDifferent pre and post measurements were performed in the two groups. No significant differences were found in sociodemographic characteristics between the control and intervention groups. Improvements were obtained in the intervention group in the Ekman test (p = 0.009), mainly enhanced by the improvement shown in three emotions: fear, sadness and disgust (p = 0.041, p = 0.021 and p = 0.038 respectively).ConclusionET is a promising online training tool for social cognition deficits in schizophrenia, in particular, for the improvement of emotions.Clinical Trial Registration: https://beta.clinicaltrials.gov, NCT05866328.

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Randomized Clinical Trial with e-MotionalTraining® 1.0 for Social Cognition Rehabilitation in Schizophrenia

Cited by 21 publications

References 76 publications

Efficacy of technology-based interventions in psychosis: a systematic review and network meta-analysis

Efficacy of technology-based interventions in psychosis: a systematic review and network meta-analysis

Facial Emotional Perception Training for Medical Students

Social cognition and emotional rehabilitation in participants with schizofrenia

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